tag:blogger.com,1999:blog-33960805.post116665041502659215..comments2017-07-28T07:22:27.991-07:00Comments on Clinical Psychology and Psychiatry: A Closer Look: TMAP: Part 2CL Psychhttp://www.blogger.com/profile/13990549972520745769noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-33960805.post-1167452012096371752006-12-29T20:13:00.000-08:002006-12-29T20:13:00.000-08:00Thanks for your comment. As far as the evidence y...Thanks for your comment. As far as the evidence you pointed out -- I've read some, though certainly not all TMAP related publications, and they didn't seem to actually describe much in the way of hard evidence to support their algorithm over anything else. I could be wrong on this, but I don't remember the TMAP evidence being very compelling.CL Psychhttps://www.blogger.com/profile/13990549972520745769noreply@blogger.comtag:blogger.com,1999:blog-33960805.post-1166713600562581552006-12-21T07:06:00.000-08:002006-12-21T07:06:00.000-08:00Ah, the TMAP. While I am very much in favor of med...Ah, the TMAP. While I am very much in favor of medication algorithms, when the state of Florida implemented a look-alike (essentially the exact same thing), my coworkers and I had the same concerns that are just now surfacing in Texas. The algorithms appeared to jump to very spendy places rather than working through the other options which were just as "evidence-based." We had discussions in several statewide and administrative forums about that very issue. We were told, unofficially of course, that the state had a special contract with that particular company and so their medications were naturally preferable. <BR/><BR/>The TMAP can be a useful tool, but it is a very clearly biased tool. Everyone who has used the thing (or any permutation of it) knows that. <BR/><BR/>You mentioned not being able to find information about the "evidence-based" nature of the TMAP ... there is actually quite a lot of work behind it. You can find the list of references at http://www.dshs.state.tx.us/mhprograms/tmappub.shtm and http://www.dshs.state.tx.us/mhprograms/disclaimer.shtm.T Young, Ph.D.http://community.livejournal.com/poundofcure/noreply@blogger.com